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العنوان
Evaluation of Blunt Abdominal Trauma in Children /
الناشر
Tohamy Abd Allah Tohamy,
المؤلف
Tohamy, Tohamy Abd Allah
هيئة الاعداد
باحث / Tohamy Abd Allah Tohamy
مشرف / Nabil Abdel Meguid
مشرف / Sarwat Mohamed Ali
مشرف / Hamdy Abo Beah
مشرف / Ragab Ali Mohamed
الموضوع
Surgery Blunt Abdominal Trauma
تاريخ النشر
2000 .
عدد الصفحات
211 p. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
جراحة
تاريخ الإجازة
1/1/2000
مكان الإجازة
جامعة المنيا - كلية الطب - General Surgery
الفهرس
Only 14 pages are availabe for public view

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Abstract

The aim of this work is to study the blunt trauma in children, the leading causes. The specific patterns that are seen with it, and the potential hazards that are result from blunt trauma.
Also the aim of this work is to evaluate the US, the CT and the DPL in the diagnosis of children with suspected blunt abdominal trauma.
In our study we conclude that:
The parent’s education is very important about the potential hazards and the need for competent supervision over the children to protect them from injury.
The role of physicians is very important in educating the parent, how to avoid the children from the hazards which may lead to injury.
The use of the physical barriers around the playground, the use of the seat belts especially designed for children. The use of the window guards and the use of the helmets for children who drive bicycle in traffic, all of them are important in decreasing the incidence of trauma among children.
The rapid transportation and the early resuscitation is very important point as regard the life saving of the blunt traumatized children.
The corner stone for children with blunt abdominal trauma is the method of investigation that we use in order to reach a correct diagnosis.
Diagnostic peritoneal lavage is very sensitive and accurate method for the diagnosis of the children with blunt abdominal trauma. It is easy, safe and reliable for the diagnosis of blunt abdominal trauma in children. It is cost effective and surgeon depend i.e doesn’t depend on other person. It can be done under local anesthesia with sedation.
As DPL compared with the US, US is safe, fast, easy to be performed and cost effective, but it needs patient transportation, also it is not surgeon dependent i.e, it depends on the skillfulness of the radiologist.
CT is a very sensitive and accurate method in the diagnosis of blunt abdominal trauma in children. But it needs a stable patient as it needs patient transportation. Also CT is time consuming, depends on the skillfulness of the radiologist and it is expensive as compared with DPL & US. So as we are in a developing country and our patients are some what poor. So CT can not be done to all the patients even if it is indicated. So we recommended that DPL to be the first line of investigation of the children with BAT. Also it can be done alone or in concomitant with US.